Assassination Records Review Board
Final Determination Notification

AGENCY : HSCA
RECORD NUMBER : 180-10147-10264
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

| December 8, 1995
Status of Document: Postponed in Part

Number of releases of previously postponed information: 5 .
Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual.

Number of Postponements: 3

Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

N

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JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA
RECORD NUMBER : 180-10147-10264
RECORDS SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

ORIGINATOR : HSCA

FROM :
TO :
TITLE :
DATE : 08/23/77
PAGES : 4

SUBJECTS : WAXMAN, MEL

DOCUMENT TYPE : PRINTED FORM
CLASSIFICATION : UNCLASSIFIED
RESTRICTIONS : 3 :
| CURRENT STATUS : RELEASED WITH DELETIONS
\ DATE OF LAST REVIEW : 10/26/95
OPENING CRITERIA :
COMMENTS : Box 3

{R] - ITEM IS RESTRICTED
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(Please Use Typewriter . , U.S. HOUSE OF REPRESENTATIVES.) (Any erasures, corrections, or changes

. , on this form must be initialed by the
or Ballpoint Pen) - Washington, D.C. 20515 - authorizing official.)

PAYROLL AUTHORIZATION FORM

To the Clerk of the House of Representatives: .

| hereby authorize the following payroll action:

| Effective Date
- December 22, 1978
Type of Action

Employee Name (First-Middle-Last) :
Mel Waxman

Employee Social Security Number
337-286-9571

Employing Office or Committee/Subcommittee

O Appointment
O Salary Adjustment

C1 Title Change

{C1 Termination (At close of business on effective date)

Assassinations

0 Leave without pay (Beginning with effective date above and ending |.

close of business... == => = )
Specify Date

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title ; Gross Annual Salary*

* If employee. is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1. 0 Standing Committee: Staff—O Clerical or 1 Professional.

2. E] Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res.225 _of SSE Congress.

3. 0 Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number

| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives. oo we aptnaencnepseg”

All appointments.and salary adjustments for employees under the House. Classification Act and for Committee em- -
ployees, except those of the Committee on Appropriations, the Committee on. the Budget, and the Joint Committees, must
be approved by the Committee on House Administration. - : :

Chairman, Committee on House Administration

~ APPROVED: | |

. * a

Office of Finance use only:

Office Code

: 1 oF ew wee ee ee ee ee ee ee

| . 00 as of Payroll

Monthly Annuity $

‘Copy for Initiating Office: or Committee 0.

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PAYROLL AUTHORIZATION FORM ©

|

———— IE ve

(Please Use Typewriter { } U.S. HOUSE OF REPRESENTATIVES.) (Any erasures, corrections, or changes

: oy: P on this form must be initialed by the
or Ballpoint Pen) : Washington, D.C. 20515 authorizing official.) 7

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Effective Date

Mel Wasnan , _ | October 1, 1978
| Employee Social Security Number 7 _ Oe Type of Action .

087=26-0521 O Appointment

72] Salary Adjustment
Employing Office or Committee/Subcommittee

Employee Name (First-Middle-Last)

OD Title Change

O Termination (At close of business on effective date)

OQ Leave without pay (Beginning with effective date above and ending

Assussinatioas close of business_._-___ = )

Specify Date

- (If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Gross Annual Salary*

Position Title

$26,300.60

plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1. O Standing Committee: Staff—O) Clerical or 0 Professional.

= . . . . . 4 op. 228 3th.
2. E Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res: _of 2 Congress.

3. O Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number If applicable, Level Step_____

| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the. employment of
relatives. cep ere

October 10. «78 ea a
Date We ae SELLER vn lat

°°” (Signature of Authorizing Official)

~” YOUIS STORES

(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member) ~ ae (Type or print name of Authorizing Official)
; Chairman

All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must -
be approved by the Committee on House Administration.

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only:

Office Code

eutibtes Rote

"AGA de walk wiliiie. allne ia eee he Seat ta Dal be te te be Ratan Losleaa Ss Bat

* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee’

"We i a Races ae ecm ant LT, neal ed aes whee fd added bbe a OM a

Raat jects

faery

ara

2 uso ath

reer se See

3

Monthly Annuity $_________ OO aof_ Payroll =
. ; . (Revised: August 11977) 1

+ -Copy- for Initiating Office or Committee me 4

we oe

NW 88326 | ee —
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‘... PAYROLE AUTHORIZATION: FORM’ Soe fe Ee ety re 4
ae “J, (Please Use. Typewriter =. aes UU $: ‘HOUSE. OF REPRESENTATIVES ~(Anyerasures;-corrections, ‘or: ‘Changes:>:

© or Ballpoint Pen). Washington, D.C. 20515 . am ae frm mt he initialed by the

“To the Clerk: of the House of Representatives: wet

- Lhereby authorize the following payroll action:

. a ‘nates Name (First-Middle-Last) - oe oe Je fie = - ae = Effective Date ae = on |

, a 8/23/77 oe
~ Employee Social Security. Number he ei Spe BARS ~ Type: of Action--

087 26 O521 | is] Appointment Te . sO . |
. ‘Employing Office or Committee-“"~ =) 2.2} UO Salary ‘Adjustment. | He
; Assassinations ay - 7 ost [7] Termination (At close of business on effective date) ‘

-- (If type of action is:an-Appointment or: Salary. Adjustment,-complete the following informations) «0.00%

"(If Committee Employee, complete appropriate item-below,): secs 0 cout aru eps:

» ployees, except:.those-of the ‘Committee-on Appropriations, the Committee: on the Budget, and the Joint "Committees, must’
be approved by the Committee-on House. Administration: - ; ;

ae

| hw
at ae

Position Title Gross Annual Salary

State Investigator | $24,900

Baul siohote whe deb

soRi%,

1. [) Standing Committee: Staff—[] Clerical-or [J Professional; °° 2 8 a ee

, 24 (4) Special or Select Committee: ‘Authority H. Res. 465 «of _38%B Congress.

OO ates be ee eg ed

3. [] Joint Committee: —

a eet as

(If Employee of an Officer of the House, complete item below.) °°

2

Position Number__ 2 _.If applicable, Level _

Perea

anit) HadSite oad ES Bt a

il certify that this authorization is. not :ih. violation-.of 5 U.S.C. :3110(b), prohibiting ‘thevemployment of
relatives.

(Signature of ‘Authorizing Official) : 3

LOUIS _

Type or print name of Authorizing Offical)
CHAT RAN

~ All. appointments. ‘and salary adjustments for employees under. the: House Classification Act and for Committee em:

We a a
Stratis alae oli akl ah dy:
—

APPROVED:

Office of Finance use only:

Office Code

ee Copy for Initiating Office or Committee. 2.6.00

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MEMORANDUM

TO: Mr. Blakey

Os
FROM: Robert J. Lehner KS ayy
ot

DATE: August 23, 1977

SUBJECT: Mel Waxman - Investigator

This is to confirm that Mel Waxman is starting

the King investigative staff on August. 23, 1977 at
$24,000 per annum.

RJL:ek

tl

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MEMORANDUM.

TO: ALL STAFF

| RE - Payroly Certification

The Regulations and Accounting Procedures for Allowances | and- -

. Expenses of Committees, Members and Employees of the U.S. House of
Representatives require that, among other things, the Commi ttee's
monthly payroll certification include the relationship, if any, of
each employee to any current Member of. Congress. This certification —
is Signed month] y by our Chairman. a

The. following are the relationships 1 to be included in. the 7
certification:

father | nephew a ae brother-in-law

mother — eo niece . Sis ter-in-Taw
son . OO ~ husband ee ' stepfather

. daugnter . . wife . oe stepmother
brother °  -Father-in-law . g§tepbrotner
sister / mother-in-law > stepsister
uncle . son-in-law ~ .-. half-brother

aunt . . 7 daughter-in-law. 7 half-sister .
First cousin 7

Please complete the appropriate portion below, sign ‘and date
this form, wnich will then become a part of your permanent personnel
file. If this srabls changes, vou must notify the Committee's Budget

| Office pamediatel the change. — Se - cn
7 I am not related to any current (95th Congress) Member of congress.

[7 1 am related to a current (95th Congress) Member of. Congress.
(Please specify.)

ne of ‘Employee . Oe, ae Date

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